A patient in the emergency department has a cardiac rhythm strip that reveals a junctional rhythm with rate of 128, PR interval of 0.08 seconds, a normally configured QRS, and an upright T wave. The patient is awake and alert with warm, dry skin. Which nursing intervention is indicated?
1. Prepare for immediate cardioversion
2. Immediate notification of the rapid response team
3. Continued monitoring and assessment
4. Administration of potassium by slow intravenous infusion
Answer: 3
You might also like to view...
A patient with hypothyroidism as a result of Hashimoto's thyroiditis asks how long thyroid replacement drugs will need to be taken. What is your best response?
a. "You will need to take the thyroid replacement drug until the goiter is completely gone." b. "You will need thyroid replacement drugs for the rest of your life because thyroid function will not return." c. "The thyroiditis will be cured with antibiotics and then you will no longer need the thyroid replacement drugs." d. "When your thyroid function studies indicate a normal blood level of thyroid hormones you will be able to discontinue the drugs."
A client with a UTI is ordered to receive trimethoprim-sulfamethoxazole, also known as co-trimoxazole (Bactrim, Septra). The nurse is aware that Bactrim is a combination of two drugs. What is the purpose of this combination?
a. It decreases the response against disease-producing organisms. b. The two drugs have an antagonistic drug effect. c. Trimethoprim prevents bacterial resistance to sulfamethoxazole. d. It prevents toxic drug effects.
Which medication system allows for patient independence?
A) Unit dose system B) Self-administered medication system C) Automated medication-dispensing system D) Bar Code Medication Administration
Linea alba is/are the:
A. midline abdominal muscles extending from the rib cage to the pubic bone. B. ligament extending from the pubic bone to the anterosuperior iliac spine. C. midline tendinous seam joining the abdominal muscles. D. angle formed by the twelfth rib and the vertebral column.